Edison Konan
NPI 1598476061ActiveIndividual· Massage Therapist· Southgate, MI
Massage Therapist in Southgate, Michigan, licensed in MI, with an NPI issued in December 2022.
Overview
| NPI | 1598476061 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 6, 2022 |
| Last updated in NPPES | Jan 8, 2024 |
| Certified by provider | Jan 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | 7501016017 | MI |
| Health & Wellness Coach | 171400000X | — | — |
| Behavior Technician | 106S00000X | — | — |
| Driver | 172A00000X | — | — |
| Adult Companion | 372600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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